Provider Demographics
NPI:1518491125
Name:ABEDIN, ZAMEER (MD)
Entity Type:Individual
Prefix:
First Name:ZAMEER
Middle Name:
Last Name:ABEDIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N 1900 E
Mailing Address - Street 2:ROOM 4C104- DEPT OF INTERNAL MEDICINE
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0002
Mailing Address - Country:US
Mailing Address - Phone:801-581-7606
Mailing Address - Fax:801-581-5393
Practice Address - Street 1:30 N 1900 E
Practice Address - Street 2:ROOM 4C104- DEPT OF INTERNAL MEDICINE
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0002
Practice Address - Country:US
Practice Address - Phone:801-581-7606
Practice Address - Fax:801-581-5393
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10955492-1205207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine